Long Sight, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001106 Issued in VA

Legal business name

LONG SIGHT, PC

Practice address

22 Campbell Ave SE
Roanoke, VA 24011-1404

Phone

(540) 982-7890

Fax

(540) 982-7891

NPI assigned

Aug 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jilda Edean Long, O.D.

Title

Optometrist/ Owner

Phone

(540) 875-8036

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1700070083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 TWIN MOUNTAIN DR",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241791021",
            "telephone_number": "540-875-8036",
            "fax_number": "888-840-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CAMPBELL AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111404",
            "telephone_number": "540-982-7890",
            "fax_number": "540-982-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG SIGHT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JILDA",
        "authorized_official_middle_name": "EDEAN",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
        "authorized_official_telephone_number": "540-875-8036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001106",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0618001106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PTAN",
            "identifier": "DO5547",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP NPI",
            "identifier": "1700070083",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009237674",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PTAN",
            "identifier": "410047559",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Santhi Logel, M.D.
• Kristin Ann Logwood Hume, PT
• Loki Home Health Care LLC
• Daniel Lollar, M.D.
• Dragutin Loncar, M.D.
• Charles Robert Long, MD
• Hillary Long, LCSW
• Jilda Edean Long, OD
• Rachel Ann Long, LPTA
• Stacie Long, NCC, LPC

• Optometrist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.